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Medical Definition of Cauda equina. Cauda equina: A bundle of spinal nerve roots that arise from the end of the spinal cord. The cauda equina comprises the roots of all the spinal nerves below the first lumbar (L1) vertebra in the lower back. Last Editorial Review: 5/13/2016.
Cauda equina syndrome is a rare disorder that usually is a surgical emergency. In patients with cauda equina syndrome, something compresses on the spinal nerve roots. You may need fast treatment to prevent lasting damage leading to incontinence and possibly permanent paralysis of the legs.